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Boot j walker l at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$1,537.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,562.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$233.77 with Highmark BCBS of PA vs $1,923.55 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $233.77 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $241.75 | ↓ -84% |
| Private Health Care Systems | Workers' Comp | $281.11 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $497.86 | ↓ -68% |
| Aetna | Medicare | $565.75 | ↓ -63% |
| Highmark BCBS of PA | Managed Care - Social Mission | $641.92 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $648.85 | ↓ -58% |
| Cigna | New Business ASO | $769.42 | ↓ -50% |
| Highmark BCBS of PA | Managed Care | $859.74 | ↓ -44% |
| Highmark BCBS of PA | Commercial - Indemnity | $869.00 | ↓ -43% |
| Cigna | Commercial | $905.20 | ↓ -41% |
| Health Plan of Upper Ohio Valley | Commercial | $1,045.51 | ↓ -32% |
| UPMC Health Plan | Commercial | $1,083.32 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,131.50 | ↓ -26% |
| PA Health & Wellness | PA Medicaid HMO | $1,244.65 | ↓ -19% |
| Coventry/First Health | Commercial | $1,584.10 | ↑ +3% |
| Highmark BCBS of PA | UPMC Emergent | $1,719.48 | ↑ +12% |
| InterGroup | PPO | $1,878.29 | ↑ +22% |
| Humana | Commercial | $1,923.55 | ↑ +25% |
| Multiplan | PPO (Includes Workers' Comp) | $1,923.55 | ↑ +25% |
| Private Health Care Systems | PPO | $1,923.55 | ↑ +25% |
Visitor-reported prices
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Boot j walker l at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $950.40 | $231.57 – $1,425.60 |
| UPMC Presbyterian | Pittsburgh | $1,179.00 | $149.50 – $1,670.25 |
| UPMC St. Margaret | Pittsburgh | $1,519.80 | $233.77 – $2,153.05 |
| UPMC Muncy | Muncy | $1,417.80 | $159.46 – $1,890.40 |
| UPMC Northwest | Seneca | $1,516.20 | $241.75 – $2,147.95 |
| UPMC Wellsboro | Wellsboro | $1,714.40 | $159.46 – $1,928.70 |
| UPMC Williamsport | Williamsport | $1,417.80 | $159.46 – $1,890.40 |